| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.86 | $33.86 | $33.86 | |
Aetna
| Professional | $33.86 | $33.86 | $33.86 | |
BCBS
| Facility | $19.60 | $19.60 | $23.52 | |
BCBS
| Professional | $42.33 | $52.00 | $108.00 | |
Cigna
| Facility | $67.69 | $67.69 | $67.69 | |
Cigna
| Professional | $15.18 | $39.24 | $49.04 | |
United
| Professional | $14.22 | $14.22 | $34.68 |